4.-SINDROME DE HELLP.-/4.-HELLP SYNDROME.-

Es una complicación del embarazo ,usualmente de gestantes con preeclampsia , se presenta en el 20% de preeclampsia severa ,cursa con alta mortalidad materna y fetal ,su acrónimo en ingles 
H.-hemolisis, 
EL.-enzimas hepáticas elevadas
LP.-plaquetas  bajas
su incidencia es mayor con abruptio placentae, preeclampsia severa, incluye CID

TAC:HEMATOMA SUBCAPSULAR POR SINDROME DE HELLP(HEMOLISIS, AUMENTO DE ENZIMAS HEPÁTICAS, CUENTA PLAQUETARIA BAJA.

1-La mortalidad  perinatal es tan alta  como 60%

2.-Se asocia prematurez y RCIU

 3.-No hay síntomas específicos (se asocia con preeclampsia )

4.-La cuenta plaquetaria es el indicador más confiable  de este sindrome

5.-.El tratamiento  es profilaxis de convulsiones, control de presión arterial , corrección de alteraciones hematológicos como plaquetopenia,transfusion de plaquetas y terminar la gestación de emergencia

6.-se usan  dosis altas de dexametasona , betametasona en dos dosis de 12mg con 12 horas de diferencia

7.-la morbilidad y mortalidad materna es de 25%

8.-Ato(se asocia con preeclampsia severa nia uterina y CID (Coagulacion Intravascular Diseminada) hematuriaIt is a complication of pregnancy, usually of pregnant women with preeclampsia, it occurs in 20% of severe preeclampsia, it presents with high maternal and fetal mortality, its acronym in English

H.-hemolysis,

EL.-elevated liver enzymes

LP.-low platelets

its incidence is higher with abruptio placentae, severe preeclampsia, includes DIC

CT: SUBCAPSULAR HEMATOMA DUE TO HELLP SYNDROME (HEMOLISIS, INCREASED LIVER ENZYMES, LOW PLATELET COUNT.

1-Perinatal mortality is as high as 60%

2.-Prematurity and IUGR are associated

 3.-No specific symptoms (associated with preeclampsia)

4.-The platelet count is the most reliable indicator of this syndrome

5.-.The treatment is seizure prophylaxis, blood pressure control, correction of hematological alterations such as thrombocytopenia, platelet transfusion and emergency termination of pregnancy.

6.-high doses of dexamethasone are used, betamethasone in two doses of 12mg 12 hours apart

7.-maternal morbidity and mortality is 25%

8.-Ato (associated with severe uterine preeclampsia and DIC (Disseminated Intravascular Coagulation) hematuria